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DNHD1 p.Arg453His

c.1358G>A · rs148449070 · VCV2467150

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.0781 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0164%, mid)
Missense predictors
0/2 damaging
AlphaMissense, REVEL

Computational evidence

Protein change
AlphaMissense0.0781likely benign
REVEL0.036moderately benign-leaning
⇒ AlphaMissense and REVEL both call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.25GERP -2.9, phastCons 0.59
Regional constrainto/e 0.90unconstrained · MANE · 66 kb · p 5.3e-11 · regional, not allelic
Overall
CADD15.32PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0164% Middle Eastern · 1/6,084 alleles
Filtering AF 0.00495% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00455%
Overall 0.00706% 114/1,614,070 alleles · ultra-rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.0328% 3,049
Middle Easterngrpmax 0.0164% 6,084
Remaining individualsnot grpmax-eligible 0.0128% 7,811
South Asian 0.00659% 15,180
European (non-Finnish) 0.0061% 16,389
East Asian 0.00445% 22,448
Admixed American 0.00333% 30,003
African / African-American 0.00267% 37,464

Finnish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene
DNHD1
Protein
p.Arg453His
Coding
c.1358G>A
MANE Select
NM_144666
dbSNP
rs148449070
Type
single nucleotide variant
Location
chr11:6511395 (GRCh38)
Gene constraint
LOEUF 0.897 · pLI <0.01 (gnomAD)
Full DNHD1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/dnhd1-p-arg453his (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown